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Related Experiment Video

Updated: Mar 6, 2026

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Using Patient-Reported Outcome Measures for Quality Improvement in Clinical Genetics: an Exploratory Study.

A Costal Tirado1,2, A M McDermott3, C Thomas1

  • 1Centre for Medical Education, School of Medicine, Cardiff University, Cardiff, UK.

Journal of Genetic Counseling
|March 11, 2017
PubMed
Summary

Patient-reported outcome measures (PROMs) can improve healthcare quality. This study explored using PROMs in clinical genetics, identifying benefits like better patient insight and service evaluation.

Keywords:
Clinical geneticsExploratoryPatient-reported outcome measures (PROMs)Quality improvement

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Area of Science:

  • Healthcare Quality Improvement
  • Patient-Centered Care
  • Clinical Genetics Services

Background:

  • International advocacy promotes patient-centered healthcare delivery.
  • Patient-reported outcome measures (PROMs) are key to evaluating healthcare from a patient perspective.
  • Understanding the implementation processes for PROMs in healthcare settings remains limited.

Purpose of the Study:

  • To explore the utilization of two different PROMs in clinical genetics services to support quality improvement.
  • To identify challenges and benefits associated with implementing PROMs in a clinical genetics setting.
  • To assess the utility of a genetic counseling-specific PROM (GCOS-24) and a generic PROM (EQ-5D).

Main Methods:

  • An exploratory study involving the use of two PROMs: Genetic Counseling Outcome Scale (GCOS-24) and Euroqol (EQ-5D).
  • A service audit tool based on patient-reported experience measures was also employed.
  • Interviews with clinical staff were conducted to identify challenges and benefits of PROM implementation.

Main Results:

  • PROMs provide valuable insights into patient needs and can complement clinical judgment.
  • PROMs help identify met needs, evidence service benefits, and highlight areas for attention.
  • Challenges in PROM use include response rates, data collection, and analysis, but benefits include professional development.

Conclusions:

  • PROMs, including GCOS-24 and EQ-5D, can effectively support service quality improvement in clinical genetics.
  • Successful implementation requires addressing challenges related to data management and staff engagement.
  • Utilizing PROMs enhances patient-centered care by providing a direct patient perspective on healthcare outcomes and experiences.